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1952879710
LARRY KEITH BLYTHE
FORT MYERS, FL
NPI
1952879710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA14664)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
LARRY KEITH BLYTHE CCC-SLP
16351 SUMMERLIN RD
FORT MYERS, FL 33908-5764
Phone number: 239-454-6130
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Mailing Address
LARRY KEITH BLYTHE CCC-SLP
16351 SUMMERLIN RD
FORT MYERS, FL 33908-5764
Phone number: 239-454-6130
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